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2. SIGN-UP FOR ELECTRONIC BILLING
4. Enroll in e-billing, a paperless billing method that is convenient, ecological, and a cost-effective way to receive your water and sewer utility bill directly to your e-mail. Signing up for e-billing will eliminate paper invoicing by regular mail.
6. Who is making this paperless billing request?*

   1. Owner

   1. Tenant

   1. Property Manager
8. Customer First and Last Name*
10. Utility Service Address*
12. Utility Account Number (xxxxxxxxxx-xx)*
14. Phone Number*
16. E-mail Address to Receive E-Billing*
18. Confirm E-mail Address*
20. I acknowledge below that by making this request to receive my water/sewer utility invoices electronically, to the e-mail address indicated above, I will no longer receive paper invoices by regular mail.
22. Acknowledgement*

    1. Owner

    1. Tenant

    1. Property Manager
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field